Nurse Practitioner OR Physician Assistant (Post Acute & Long Term Care)

Gain experience in the growing field of SNFist medicine. Become part of a well-respected practice that is elevating post-acute care. This role offers Autonomy (with the support of the Medical Director and Medical Coordinator), Clinical Variety, Longitudinal Care, Interdisciplinary Collaboration and Impactful Work!

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Our fast growing, post-acute care practice is currently searching for a full-time Nurse Practitioner or Physician Assistant to assist at two skilled nursing facilities in Sacramento County. The clinician will provide intermittent coverage for post-acute rehab patients and long-term residents.

We are looking for an NP or PA who can monitor, deliver, and improve upon comprehensive quality patient care in a post-acute and long-term care setting. The successful applicant will have the opportunity to apply a team concept approach to post-acute care delivery. The clinician will work independently, as well as directly with the Medical Director and Medical Coordinator to deliver and coordinate comprehensive care plans.

POSITION SUMMARY:

This is an onsite clinical position where the NP/PA is responsible for providing direct patient care with an excellent support system. The clinician will provide intermittent coverage for post-acute rehab patients and long-term residents while operating in partnership with the Medical Director. The NP/PA will also have support from a dedicated Medical Coordinator. You would see approx. 17 patients a day depending on the daily census. Census will be provided daily.

The ideal candidate will be committed to making a real difference in their patients’ lives, continuing their education and strengthening their practice under the guidance of a skilled medical director.

KEY RESPONSIBILITIES/ESSENTIAL JOB FUNCTIONS:

Evaluate patients from admission and ensure that discharge and rehab plans are executed.
Monitor for acute changes; diagnose and treat common conditions.
Propose treatments for chronic and infectious diseases.
Maintain accurate records and schedules.
Participate in quality improvement programs.
Available via phone or text when on call.
Assist with initiating/documenting Advanced Directives/POLST form.

Daily Visits

Order diagnostic tests, reviews labs, radiology reports, and consults on all patients.
Talk to and examine assigned skilled-level patient on daily rounds.
Assess rehab progress.
Discuss concerns with the patient, family, rehab, and case management.
Educate patient and family members regarding acute and chronic illness management.
Attend family meetings as necessary.
Inform medical director of significant changes in medical condition.
Discharge: coordinate transition from skilled to long term placement or home with care coordinators.

Long-Term Care

Follow long-term patients every 30 days or as acutely needed.
Perform diagnostic and/or therapeutic procedures within your level of training and expertise.
Order, interpret and evaluate diagnostic tests for both regularly scheduled health maintenance and acute clinical issues.

Proven experience as an NP or PA in primary care or sub-specialty outpatient clinics, hospitals, or SNFs
Expertise in primary care/internal medicine/post acute care
Geriatric background preferred but not required
Valid NP or PA license in California
Active NP furnishing license
Current CA DEA certificate
Knowledge of health and patient care regulations
Strong ethics & excellent communication skills
Team spirit with a positive attitude
Patience and cool headedness
Willingness to continue gaining knowledge and clinical experience

Job Type: Part Time - Saturday and Sunday (8 hours each day)

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Experience:

Nurse Practitioner or Physician Assistant: 1 year (Required)

License/Certification:

Nurse Practitioner or Physician Assistant license (Required)

Work Location: In person

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An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Administers, orders, furnishes and prescribes medications. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. Certified Nurse Midwife (CNM): Licensure as a Registered Nurse (RN) in the State of California CNM - Certified Nurse Midwife. KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $93.75 to $114.84 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.